Individual
MISS KATRINA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 TRAIL BLAZER DR, TALLAHASSEE, FL 32310-3658
(904) 217-1059
Mailing address
1634 TRAIL BLAZER DR, TALLAHASSEE, FL 32310-3658
(904) 217-1059
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
299993882
FL
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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